Long-term care and disaster preparedness: A study of organizational types and levels of preparedness for a disaster or emergency

2011 ◽  
Vol 9 (2) ◽  
pp. 39 ◽  
Author(s):  
Saher Selod, MA ◽  
Janice Heineman, PhD ◽  
Catherine O’Brien, MPH, MA ◽  
Scott P. King, PhD
Keyword(s):  
Cluster Analysis ◽  
Hurricane Katrina ◽  
Disaster Preparedness ◽  
Urban Areas ◽  
Long Term Care ◽  
Disaster Plan ◽  
Term Care ◽  
Preparedness Planning ◽  
Demographic Survey

Objectives: Although the consequences of Hurricane Katrina motivated considerable research into long-term care (LTC) facility preparedness, many questions still remain. This study examines the characteristics of LTC facility in relation to the level of preparedness to discern whether there are patterns that can inform future planning efforts. The data from PREPARE, a federally funded disaster preparedness program for LTC staff, are used in the analysis.Methods: More than 400 PREPARE participants completed both baseline and impact surveys as well as a demographic survey, allowing for an analysis of the characteristics and levels of disaster preparedness among participating LTC facilities. Crosstabs were run for the baseline and impact surveys against the demographic survey that the participants completed. Cluster analysis was performed to fit organizations into distinct groups based on their baseline responses to key preparedness domains.Results: The results of the crosstabs reveal the specific areas where LTC facilities have a more comprehensive disaster plan. For example, skilled nursing facilities appear to be more prepared than continuing care retirement communities (CCRCs); rural facilities seem to be more prepared than urban facilities; and facilities that are part of a chain did not emerge as being better equipped than independent facilities. Cluster analysis found three groups of organizations: “Resourceful but Hesitant,” “Unprepared,” and “Model Preparedness.”Conclusions: These findings have important implications for public health efforts surrounding disaster preparedness in LTC. The findings suggest that CCRCs deserve special attention in preparedness planning and that consideration in disaster planning is required in both rural and urban areas.

Community Long Term Care Ombudsman Program Disaster Assistance: Ready, Willing or Able?

2020 ◽  
Vol 17 (2) ◽  
Author(s):  
H. Wayne Nelson ◽  
Bo Kyum Yang ◽  
F. Ellen Netting ◽  
Erin Monahan
Keyword(s):  
Hurricane Katrina ◽  
Disaster Preparedness ◽  
Long Term Care ◽  
Disaster Mitigation ◽  
Term Care ◽  
Disaster Assistance ◽  
Disaster Experience ◽  
Public Crisis ◽  
Disaster Training

AbstractThe high elder care death toll of Hurricane Katrina in 2005, pushed the federally mandated Long-Term Care Ombudsman Program (LTCOP) into the unsought and unforeseen realm of disaster preparedness. This new role was an extension of the LTCOP’s historic resident’s rights investigative case advocacy. To assess if, how, and to what extent local ombudsmen adapted to this new function, 102 local LTCOP leaders completed a telephone survey based on the CMS Emergency Planning Checklist. This assessed their own and their programs’: (a) readiness to help facilities reduce disaster threats to residents, (b) familiarity with relevant disaster laws, rules, and resources; (c) readiness to help residents through the disaster cycle; and (d) levels of disaster training and/or their plans to provide such training to their staff and LTC stakeholders. Forty-two respondents (41.13%) had experienced a public disaster but over half or those responding (n = 56, 54.90%) felt fairly to somewhat prepared to help in a public crisis. After being ready to work away from their office during a crisis ($\overline{x}$ = 4.14, SD = 1.00) respondents felt most prepared “to assist during nursing home emergency closure and evacuation” ($\overline{x}$ = 3.86, SD = 1.09). t-tests revealed that respondents with a disaster experience were significantly more prepared in all assessed dimensions than as those without disaster experience. The study highlights the training needs of ombudsmen in high risk areas to better prepare them for disaster mitigation in nursing homes.

Infection prevention disaster preparedness planning for long-term care facilities

2012 ◽  
Vol 40 (3) ◽  
pp. 206-210 ◽  
Author(s):  
Jacie C. Volkman ◽  
Terri Rebmann ◽  
Steve Hilley ◽  
Sharon Alexander ◽  
Barbara Russell ◽  
...  
Keyword(s):  
Disaster Preparedness ◽  
Infection Prevention ◽  
Long Term Care ◽  
Term Care ◽  
Preparedness Planning ◽  
Care Facilities ◽  
Disaster Preparedness Planning

Pflegebedürftigkeit unterscheiden

2021 ◽  
Author(s):  
Johannes Michael Bergmann
Keyword(s):  
Cluster Analysis ◽  
Long Term Care ◽  
Multiple Correspondence Analysis ◽  
Methodological Approach ◽  
Assessment System ◽  
Theoretical Discussion ◽  
Need For Care ◽  
Term Care ◽  
Measurement And Analysis

In Germany, a new assessment system (the NBA) is being applied to assess the need for long-term care. The degree of care that is calculated defines the extent of welfare state benefits. Measuring and analysing the need for care in a statistically appropriate way is subject to certain preconditions. This book presents multiple correspondence analysis (MCA) in combination with cluster analysis (HCA) as an innovative methodological approach to dealing with this challenge. The first part provides a theoretical discussion of the need for care; the second part describes MCA and HCA in detail using an example. The book is aimed at all those involved in the measurement and analysis of the need for care.

State Long-Term Care Ombudsmen’s Perceptions of Their Program’s Disaster Preparedness Roles and Readiness

2012 ◽  
Vol 32 (8) ◽  
pp. 952-974 ◽  
Author(s):  
H. Wayne Nelson ◽  
Daniel Agley ◽  
F. Ellen Netting ◽  
Kevin W. Borders ◽  
Ruth Huber
Keyword(s):  
Disaster Preparedness ◽  
Long Term Care ◽  
Term Care

A long-term care facility pandemic influenza preparedness planning assessment tool

2011 ◽  
Vol 6 (4) ◽  
pp. 219-230 ◽  
Author(s):  
Philip W. Smith, MD ◽  
Keith Hansen, BS ◽  
Harlan Sayles, MS ◽  
Brendan Brodersen ◽  
Sharon Medcalf, RN, Med
Keyword(s):  
Pandemic Influenza ◽  
Long Term Care ◽  
Assessment Tool ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Preparedness Planning

scholarly journals Disaster Preparedness Among Older Japanese Adults With Long-Term Care Needs and Their Family Caregivers

2016 ◽  
Vol 11 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Tomoko Wakui ◽  
Emily M. Agree ◽  
Tami Saito ◽  
Ichiro Kai
Keyword(s):  
Older Adults ◽  
Family Caregivers ◽  
Disaster Preparedness ◽  
Long Term Care ◽  
Community Support ◽  
The United States ◽  
Great East Japan Earthquake ◽  
Care Needs ◽  
Term Care

AbstractObjectiveIn the 2011 Great East Japan Earthquake, as in Hurricanes Katrina and Rita in the United States, older individuals were at the greatest risk of mortality. Much concern has been raised about developing plans to reduce these risks, but little information has been provided about preparedness, and the key role played by caregivers has been largely unexplored. The aims of this study were thus to examine the preparedness of family caregivers of older adults with long-term care needs and to identify the characteristics of older adults and their caregivers that are associated with poor preparedness and greater concern about disasters.MethodsShortly after the Great East Japan Earthquake, the second wave of the Fukui Longitudinal Caregiver Study was administered to the family caregivers of older Japanese individuals with long-term care needs. The sample included 952 caregivers from 17 municipalities in Fukui prefecture. Logistic regression analyses were used to identify the factors associated with self-assessed preparedness, evacuation planning, and caregivers’ concerns about preparedness.ResultsThe majority (75%) of the caregivers had no concrete plans for evacuation in an emergency, and those caring for persons with dementia were 36% less likely to have any plan. In multivariate models, caregivers who were more experienced and wealthier and who reported more family and community support were more likely to feel well prepared. Caregivers with poor health or limited financial resources or who were responsible for older persons with mobility difficulties reported higher levels of anxiety about their disaster preparedness.ConclusionsThis study indicates that most caregivers are ill prepared to respond in emergencies and that caregiver resources, community support, and the needs of older care recipients influence both preparedness and concern about disasters. Education for caregivers and the development of community support programs could provide important sources of assistance to this vulnerable group. (Disaster Med Public Health Preparedness. 2017;11:31–38)

scholarly journals Forms of Providing and Financing Long-Term Care in OECD Countries

2017 ◽  
Vol 17 (2) ◽  
pp. 159-178 ◽  
Author(s):  
Renáta Halásková ◽  
Pavel Bednář ◽  
Martina Halásková
Keyword(s):  
Cluster Analysis ◽  
Long Term Care ◽  
Formal System ◽  
Principal Component ◽  
Oecd Countries ◽  
Population Ageing ◽  
Term Care ◽  
Care Systems ◽  
Provision Of Care

Abstract Long-term care is being prioritised due to population ageing, and hand in hand with the development of professional provision of long-term care, public expendi-tures will be increasing. Mainly countries with a sharp increase in the number of people aged 80+ will have to address the sustainability of long-term care systems and the pro-curement of relevant services. This paper aims to evaluate the forms of provision and financing of long-term care in selected OECD countries. Provision and funding of long-term care in terms of a formal system are assessed based on selected criteria using analytical methods (principal component analysis and TwoStep cluster analysis). Results of the evaluation carried out in 2008 and 2013 by means of the selected indicators of long-term care, using TwoStep cluster analysis, confirmed both similar as well as different approaches to the provision and financing of long-term care in the analysed countries. The most marked differences in the provision of care based on indicators LTC recipients aged 65+ and LTC recipients in institutions as a percentage of total LTC recipients were found between the first cluster (Australia and Korea with the highest share of LTC recipients) and the second cluster (Czech Republic, Estonia, with the lowest share of LTC recipients). In financing of long-term care (LTC expenditures on institutions as a percentage of total LTC expenditures), the most significant differences were observed between the first (Australia, Korea, with the largest share of LTC expenditures on institutions) and third cluster (mainly Nordic countries, with the lowest share of LTC expenditures on institutions of total LTC expenditures).

scholarly journals Improving Long-Term Care Facility Disaster Preparedness and Response: A Literature Review

2016 ◽  
Vol 11 (1) ◽  
pp. 140-149 ◽  
Author(s):  
J. Rush Pierce ◽  
Sarah K. Morley ◽  
Theresa A. West ◽  
Percy Pentecost ◽  
Lori A. Upton ◽  
...  
Keyword(s):  
Disaster Preparedness ◽  
Disaster Response ◽  
Long Term Care ◽  
Care Facility ◽  
Disaster Planning ◽  
Patient Characteristics ◽  
Careful Consideration ◽  
Term Care ◽  
Medical Needs

AbstractLong-term care facilities (LTCFs) and their residents are especially susceptible to disruptions associated with natural disasters and often have limited experience and resources for disaster planning and response. Previous reports have offered disaster planning and response recommendations. We could not find a comprehensive review of studied interventions or facility attributes that affect disaster outcomes in LTCFs and their residents. We reviewed articles published from 1974 through September 30, 2015, that studied disaster characteristics, facility characteristics, patient characteristics, or an intervention that affected outcomes for LTCFs experiencing or preparing for a disaster. Twenty-one articles were included in the review. All of the articles fell into 1 of the following categories: facility or disaster characteristics that predicted preparedness or response, interventions to improve preparedness, and health effects of disaster response, most often related to facility evacuation. All of the articles described observational studies that were heterogeneous in design and metrics. We believe that the evidence-based literature supports 6 specific recommendations for facilities, governmental agencies, health care communities and academia. These include integrated and coordinated disaster planning, staff training, careful consideration before governments order mandatory evacuations, anticipation of the increased medical needs of LTCF residents following a disaster, and the need for more outcomes research. (Disaster Med Public Health Preparedness. 2017;11:140–149)

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